
University students in England over the age of 18 are generally expected to pay for their prescriptions. However, there are some exemptions and alternative options available. For instance, students registered with a GP in England may qualify for the NHS Low Income Scheme, which is determined by income rather than parental finances. Students with repeat prescriptions may also find it cost-effective to purchase a prepayment certificate, which covers all prescriptions for a period of 3 or 12 months. Additionally, students from Scotland, Wales, and Northern Ireland can obtain an exemption card to receive free prescriptions while studying in England.
| Characteristics | Values |
|---|---|
| Location | In Scotland, Wales and Northern Ireland, prescriptions are free for everyone. In England, if you are aged 16-18 and in full-time education, you can get all prescriptions for free. |
| Age | If you are 19 years old or above and living in England, you have to pay for your prescriptions, regardless of whether you are in full-time education or not. |
| Income | If you have a low income, you can apply for help with paying or may be eligible to receive free prescriptions. |
| Benefits | If you are receiving benefits, you may be eligible to receive free prescriptions. |
| NHS Low Income Scheme | If you are a student registered with a GP in England, you may be able to qualify for the NHS Low Income Scheme, which is based on your income, not your parents'. |
| Prepayment Certificate | If you have repeat prescriptions, it could be cost-effective to buy a prepayment certificate, which allows you to pay for 3 or 12 months upfront. |
| Exemption Card | If you are from Wales, Scotland or Northern Ireland and studying in England, you can get an exemption card to continue receiving free prescriptions. |
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What You'll Learn

Students in Scotland, Wales and Northern Ireland
If you are a student in full-time education and under the age of 19, you are automatically entitled to full help with health costs. If you are registered with a GP and living in Scotland, Northern Ireland or Wales, you will get prescriptions completely free of charge, regardless of your age, income or other factors. For those aged 19 and over and living in England, you are expected to pay for your prescriptions, regardless of whether you are studying at university or not.
However, if you are a student in England, you can get an exemption card if you are Welsh, Scottish or Irish. For Scottish, Welsh and Northern Irish students studying in England, you can get an exemption card, allowing you to continue receiving free prescriptions while in England.
If you are struggling financially, you can reach out to your university's guidance team to see if there is any way the university can support you financially. An HC2 certificate is an exception certificate that you can apply for to help with health costs, such as paying for prescriptions. If you have an HC2 certificate, you will get free prescriptions, free NHS dental and sight treatment, as well as help with covering the costs of glasses, contact lenses and travelling to and from NHS doctor appointments.
Some prescribed items are always free, including contraception and medication given to hospital inpatients. If you are pregnant or have had a baby in the last 12 months, you are entitled to free prescriptions if you have a valid maternity exemption certificate.
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Students in England
If you are a student in England, you are generally expected to pay for prescriptions if you are 19 or older. However, there are a few ways you can reduce these costs or get free prescriptions.
Firstly, if you are under 19 and in full-time education, you are entitled to free prescriptions. If you are 16, 17, or 18, you may need to show proof that you are in full-time education.
Secondly, if you are registered with a GP in England, you may be able to qualify for the NHS Low Income Scheme. This scheme is based on your income, not your parents', and includes student maintenance loans, savings, and investments. If your annual income does not exceed £16,000, you may receive full or partial help with healthcare costs.
Thirdly, if you have a valid medical exemption certificate for a specified medical condition or continuing physical disability, you may be entitled to free prescriptions.
Additionally, if you are pregnant or have had a baby in the last 12 months, you may be eligible for free prescriptions for a certain period.
Finally, if you do not meet the criteria for free prescriptions, you can consider purchasing a prepayment certificate. This allows you to pay for 3 or 12 months upfront, covering all your prescriptions during that period.
It is important to note that the rules regarding prescription charges can be complex, and it is your responsibility to check your entitlement before claiming free prescriptions.
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NHS Low Income Scheme
In England, students aged 19 and over are expected to pay for their prescriptions, regardless of their education status. However, they may be able to qualify for the NHS Low-Income Scheme, which is based on their income and not their parents'. This scheme is available to students whose annual income, including student maintenance loans, savings, and investments, does not exceed £16,000. If eligible, students will receive full or partial help with healthcare costs.
The NHS Low-Income Scheme aims to reduce the costs of NHS prescriptions, dentistry, sight tests, glasses, contact lenses, necessary travel costs for NHS treatment, wigs, and fabric supports. It is not necessary to receive benefits to qualify for the scheme. Those with capital or savings exceeding £6,000 are ineligible. People entitled to means-tested benefits are exempt from these charges and do not need to apply for the scheme.
The HC2 certificate for full help, which includes free NHS prescriptions, is issued if the weekly income is less than or equal to the requirements. Alternatively, if the income is greater than the requirements by no more than half the current English prescription charge, an HC3 certificate for partial help is provided. It is possible to apply for a refund of charges already paid when applying for the certificate.
Students can determine their eligibility for help with NHS costs by filling out an online checker or completing an HC1W form. They can also apply for urgent help with health costs before any benefits are awarded by submitting an HC1W form. It is important to note that the Low-Income Scheme does not provide entitlement to NHS treatment but helps with certain costs for those already entitled to it.
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Prepayment certificates
If you are a university student in the UK, you may be entitled to free prescriptions. If you are under the age of 19 and in full-time education, you are automatically entitled to full help with health costs. Students registered with a GP in Scotland, Northern Ireland, or Wales can get free prescriptions, regardless of age, income, or other factors.
However, if you are 19 or over and living in England, you are expected to pay for prescriptions, even if you are studying full-time. If you are in this situation, you may be able to qualify for the NHS Low Income Scheme, which is based on your income, not your parents'. If eligible, you will receive full or partial help with healthcare costs.
If you don't meet the criteria for free prescriptions or the NHS Low Income Scheme, you can still save money with a Prescription Prepayment Certificate (PPC). A PPC covers all your NHS prescriptions for a set price, including dental prescriptions, no matter how many items you need. It does not cover the cost of other health items, such as wigs and fabric supports.
A PPC can be purchased for 3 or 12 months upfront, and you can choose to pay in 10 Direct Debit instalments for the 12-month option. A 3-month PPC costs £31.25 to £32.05, while a 12-month PPC costs £111.60 to £114.50. There is also a Hormone Replacement Therapy Prescription Prepayment Certificate (HRT PPC) that covers certain HRT medicines for a set price of £19.80 for 12 months.
If you become entitled to free prescriptions while your PPC is still valid, you may be able to claim a full or partial refund for the cost of the PPC. It is important to keep your details up to date, as changes to your name or address will require a new certificate.
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Exemptions and benefits
If you are a university student in England, you are expected to pay for your prescriptions if you are 19 or older. However, there are certain exemptions and benefits that you may be eligible for to receive free prescriptions.
Firstly, if you are under 19 years of age and in full-time education, you are automatically entitled to free prescriptions. This applies in England, as well as Scotland, Wales, and Northern Ireland. If you are over 19, you may still be eligible for free prescriptions if you are a student with a low income. The NHS Low Income Scheme is available for students whose annual income, including student maintenance loans, savings, and investments, does not exceed £16,000. If you meet the criteria, you will receive full or partial help with healthcare costs.
Additionally, if you are a student in Scotland, Wales, or Northern Ireland, you are entitled to free prescriptions regardless of your age, income, or other factors. If you are a student from one of these countries studying in England, you can apply for an exemption card to continue receiving free prescriptions.
Furthermore, if you are pregnant or have recently given birth within the last 12 months, you are eligible for free prescriptions. This also applies if you are receiving certain benefits or have a specified medical condition or disability. In such cases, you may need to provide a valid exemption certificate to claim your free prescriptions.
To determine your eligibility for free prescriptions, you can use the online eligibility checker provided by the NHS. It is important to remember that you may be subject to a penalty charge of up to £100 if you claim free prescriptions that you are not entitled to.
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Frequently asked questions
In England, university students aged 19 and over are expected to pay for their prescriptions. Students registered with a GP in England may be able to qualify for the NHS Low Income Scheme if their annual income, including student maintenance loans, savings, and investments, does not exceed £16,000.
Students from Scotland, Wales, and Northern Ireland studying in England can get an exemption card to receive free prescriptions.
Students who frequently require prescriptions may find it cost-effective to buy a prepayment certificate, allowing them to pay for 3 or 12 months upfront. A 3-month certificate costs £31.25, while a 12-month certificate costs £111.60.
Students under the age of 20 who are dependent on someone receiving income support or Jobseeker's Allowance may be eligible for free prescriptions. Additionally, students with a specified medical condition or continuing physical disability who have a medical exemption certificate may qualify.
Students struggling financially can reach out to their university guidance team to explore potential financial support. Additionally, students can apply for an HC2 certificate, which provides help with health costs, including prescription, dental, and sight treatment costs.


































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